Mikaela Docena Lising, in Loma Linda, CA - Medicare Audiologist Provider

Mikaela Docena Lising, is a medicare enrolled "Audiologist" provider in Loma Linda, California. Her current practice location is 11201 Benton St, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 825-7084.

Mikaela Docena Lising is licensed to practice in California (license number 3457) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629611439.

Contact Information

	Mikaela Docena Lising,
	11201 Benton St, Loma Linda, CA 92357-1000
	(909) 825-7084
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mikaela Docena Lising
Gender	Female
Speciality	Audiologist
Location	11201 Benton St, Loma Linda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629611439
Provider Enumeration Date: 10/24/2019
Last Update Date: 05/27/2025

Medicare PECOS Information:

PECOS PAC ID: 7012430531
Enrollment ID: I20250325003651

Medical Identifiers

Medical identifiers for Mikaela Docena Lising such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629611439	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	3457 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mikaela Docena Lising allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mikaela Docena Lising is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mikaela Docena Lising, 1555 Orange Ave Unit 702, Redlands, CA 92373-1455 Ph: () -	Mikaela Docena Lising, 11201 Benton St, Loma Linda, CA 92357-1000 Ph: (909) 825-7084

Reviews and Comments

Audiologist in Loma Linda, CA

Brittney Keyworth, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Cynthia Louise Frederickson, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 11370 Anderson St Ste 2100, Loma Linda, CA 92354 Phone: 909-558-2822
Ian Boyle, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Dr. Imari Greaves, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St Bldg 30, Loma Linda, CA 92357 Phone: 909-825-7084
Dr. Ian Benjamin Mertes, AU.D., PH.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: Va Loma Linda Healthcare System, 11201 Benton Street, Loma Linda, CA 92357 Phone: 909-825-7084
Dr. Kelsey Samuelson, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Ashley Sol Chun, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 11201 Benton St Bldg 30, Loma Linda, CA 92357 Phone: 909-825-7084

Mikaela Docena Lising, - Medicare Audiologist in Loma Linda, CA